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tfAV1HUNtttN'fAL CNECKLtST <br />_ ' ($50.00 Fee Required) <br />Introduction: ihe State Environmental Policy Act of 1971, ChapCer 43.21C, 4CW, requiXes al: <br />staCe a,�d local governmental agencies to consider environmental values both for L'heir own <br />actions and crhen licensing private proposals. The Act also requires that an EIS be prepared . <br />for all ma,jor act{.uns significantly affecting the quality of the environmenC. The purpose <br />of this checklisC is to help the agencies involved detecmine whether or noC a proposal is such <br />a major action. <br />Please ansver the Eollowing questions as completely as you can with the infortnation presentl;� <br />available to ;ou. Idhere explan�:ions oE your answers are required, or whcre you believe an <br />explanation would be helpful Co government decision makers, include your explaoation in.the <br />spac=_ provided, or use additional pages iE necessary. You should include refere[�ces to any <br />reports or studies of ahich you are aware and which are relevant co ehe answers yuu prc�vi.de. <br />Ca.aplete anscrers to these questions noU cvill help�all agencies involved with your proposal. <br />co undertake the required c.nvironmental review withou[ unnecessary delay. <br />The follawing questions ��ply to your total proposal, not just to [he license for which you <br />are currently applying or the proposal for which aPproval is soughl•. Your answers shouJd <br />include the iv�pacts which will be caused by your proposal whe� it is compleL•ed, even l'i�ough <br />completion may not occur until sometime in the future. ';iis wi11 allow all of th^. agencies <br />vhich crill be involved to complete their environmental revieu now, withoul• duplicaCing <br />paper qnrk in the future. � <br />NOTEc This is a standard form being used by all state and local agenczes ln Che $CaCe of <br />Wash:ngton fcr various types of proposals. Many of the questions may not apply ta your proposal. <br />If a question does not apply, just answer. it "no" and continue on co.t:he nexL' quesCi.on. <br />ENVIRONMENTAL CHECRi.IST FORM <br />1. BACKGROUND <br />�. Name oE Proponent Citv of C:verett ' _ <br />2, Address and Phone Namber of Praponent: Larry Crswford <br />3. Date Checklist Submitted <br />q, A�ency Hequiring Checklist �itv of I'�er�tt <br />5, Name of Proposal, if applicable: Vacatio» of alley C� 2120 D1ain (Soutli of D1ain <br />Uetween 3rd and 4th.. <br />�i <br />6. Nature and IIrief Description o: the Proposal (including Uut not limited to its si�e, <br />general design eleuen[s, �nd other factors that will givc an accuraCr. understan�ling <br />of its scope and nature):Vacation of 300' of alley. 15' R-O-IV ���idth. 65 of <br />alley (N encl) has unauthoi•ize cuncrete paving, a por ion o: �aii�� is n a <br />qucstionaUle fi.11. ln au ition, tie natur� o ie iinprovc � <br />� si - <br />can" <br />: .. ,. : , : . .. . ,. � i. � ' *r--- <br />7, Location of Proposal (describe the physical setting of the proposal, as well as the <br />extent of the land area affected by any environmental i.mpaG:_^., inclnding any Gl:}1C1' <br />inforuza[ion needed to give an accurate understanding of the envir.onment.al eec�.inf;'�f <br />the proposal): Native slope Gast t�.l�'est ��as ap��ro�. 50"a - Pi.11 placed oa 1:i <br />slope on East side of a�lcy is sho�aing signs o ins a�i i y. ouse nenr SouYF <br />ou i en � , - -' <br />$, �stima[ed DaCe For Compietion oE the Propused AcCion: Complete <br />'s . I <br />